Association for Paediatric Palliative Medicine Master Formulary 2017 (4th edition)

Click below to download the 

APPM Master Formulary 2017 (4th edition) 

You can also access an app based version of the formulary in Basic Symptom Control in Paediatric Palliative Care here.

The first two editions of the Association of Paediatric Palliative Medicine Master Formulary generated considerable interest probably because they were the first times all available children’s palliative prescribing information was collated in a single volume. The third edition was published in 2015, and built on the earlier editions, not least as they were some major changes in the use of certain medications so that there was some extensive re-writing and updating of key references. The resource was becoming seen as a sustainable evidence based document, and it had already being translated into different languages including Russian, with a Spanish edition now being considered.

The third edition also contained important updates on clonidine, codeine, domperidone and metoclopramide, as well as clear references to the MHRA (Medicines and Healthcare Products Regulatory Agency) statements to back these up. Significantly, it also offered details on the prescription of methadone but with an important proviso in terms of an addendum regarding the need for additional training and support to be able to undertake this safely.

As well as many paper copies being made, it is clear now with up to 200 free downloads of the APPM Master Formulary per month, and the development of an App, that this is now a very valued resource. Accordingly, the next edition of the Formulary is eagerly awaited, the more so as it will carry a specific area on prescribing for neonates.

As previously, my huge thanks to Dr Sat Jassal for coordinating and editing production of the 4th edition. Along with pharmacists, Anita Aindow and Helen Crooks, my thanks also to a plethora of clinicians who have actively reviewed specific areas, and to the membership APPM who have peer-reviewed it.

The Association of Paediatric Palliative Medicine is pleased to be able to support this update and we anticipate that it will continue to be seen as a major reference tool and used actively in the prescription of medications for babies, children and young people with palliative and end of life care needs.

Dr P J Carragher

Chair of the Association of Paediatric Palliative Medicine